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HEALTH REVIVAL MEDICAL PC
NPI 1093742900
Family Medicine in Brooklyn, NY

Active since June 27, 2006CLIA 33D1012965 · Waiver
HEALTH REVIVAL MEDICAL PC, 162 BRIGHTON STREET, BROOKLYN, NY 11235(718) 891-8822(718) 891-8823 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Health Revival Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTH REVIVAL MEDICAL PC (NPI 1093742900) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Larisa Veksman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093742900
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEALTH REVIVAL MEDICAL PC
Location AddressHEALTH REVIVAL MEDICAL PC, 162 BRIGHTON STREETBrooklyn, NY 11235-5237
Mailing Address21 Goodal StreetBrooklyn, NY 10308-3325 · (718) 891-8822 · Fax (718) 891-8823
Phone(718) 891-8822
Fax(718) 891-8823
Organization SubpartNo
Authorized OfficialLarisa VeksmanMedical Director · (718) 891-8822
Enumeration DateJune 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1093742900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 223381
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
HEALTH REVIVAL MEDICAL PC, Brooklyn, NY 11235
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1012965

Health Revival Medical PC · Brooklyn, NY
Active · expires May 26, 2027
CLIA Number33D1012965
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorLarisa Veksman
Laboratory Phone(718) 891-8822
Laboratory LocationHealth Revival Medical PC162 Brighton 11th Street, 1st Floor, Brooklyn, NY 11235
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Health Revival Medical PC's NPI number?

The NPI number for Health Revival Medical PC is 1093742900. It was assigned to this organization in the NPPES registry on June 27, 2006.

Where is Health Revival Medical PC located?

Health Revival Medical PC is located at Health Revival Medical PC 162 Brighton Street, Brooklyn, NY 11235. The listed phone number is (718) 891-8822.

What is Health Revival Medical PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Health Revival Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1012965) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Health Revival Medical PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.